Peony Order Form

Peony Order Form

Florist/Retail
Floral Business Name
Contact Person

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number

Order Information

White Peonies

	Quantity	Choice
Festiva Maxima - ($4.50)
Duchesse de Nemours - ($5.50)
Elsa Sass - ($5.50)

Blush Peonies

	Quantity	Choice
My Love - ($5.50)
Immaculee - ($5.50)
Shirley Temple - ($5.50)

Light Pink Peonies

	Quantity	Choice
Edulis Superba - ($4.50)
Monsieur Jules Elie - ($4.50)
Sarah Bernhardt - ($4.50)
Joker - ($4.50)

Dark Pink Peonies

	Quantity	Choice
Felix Crousse - ($5.50)
Victoire de la Marne - ($5.50)

Red Peonies

	Quantity	Choice
Red Charm - ($5.50)

Coral Peonies

	Quantity	Choice
Coral Charm - ($7.50)

Lemon Peonies

	Quantity	Choice
Lemon Chiffon - ($7.50)

Order Comments

Delivery Information
Ship Date
Name of Recipient

First NameLast Name
Contact Phone Number
Email
Shipping Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: